KAREN SUMNER AGACNP-BC
NPI 1821615758
Nurse Practitioner - Gerontology in Fishersville, VA

Q: What is Karen Sumner's NPI number?

The NPI number for Karen Sumner is 1821615758. It was assigned to this individual provider in the NPPES registry on June 26, 2020. The provider is also known as Karen Marie Sumner Karen Haley.

Q: What is Karen Sumner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Karen Sumner was last updated on August 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 26, 2020PECOS EnrolledAccepts Medicare Assignment

79.39/100

CMS Quality Rating

9 PINNACLE DR STE A03, FISHERSVILLE, VA 22939(444) 728-7118(844) 472-8712 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2023, Jul 29, 2021, Jun 26, 2020 (3 updates tracked since 2020).

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About Karen Sumner Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN SUMNER AGACNP-BC (NPI 1821615758) is an individual gerontology provider in Fishersville, Virginia, licensed in Virginia (0024179573) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1821615758

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameKAREN SUMNERCredential: AGACNP-BC

Location Address9 PINNACLE DR STE A03Fishersville, VA 22939-2367

Mailing AddressPo Box 9007Charlottesville, VA 22906-9007

Phone(444) 728-7118

Fax(844) 472-8712

Sole ProprietorYes

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2020

Enumeration DateJune 26, 2020

Last NPPES UpdateAugust 11, 20233 updates tracked since enumeration

NPPES CertifiedAugust 11, 2023

✔ NPI 1821615758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in VA · 0024179573

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 0024179573 (VA)

9 PINNACLE DR STE A03, Fishersville, VA 22939

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Other Names 1

Former Name (1)Karen Marie Sumner Karen Haley

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2367 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen Sumner Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335562610

PECOS Enrollment IDI20210527000261

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

220 services199 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

114 services94 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22939 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.66

Promoting Interoperability

100

Improvement Activities

Cost

57.65

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KORSHIE S DUMOR M.D.

Internal Medicine (Nephrology)